Boarding Registration Form

Save time and fill out your boarding registration form online! This form is just for registration and does not confirm your reservation. Please contact us at 713-527-0489 with any questions or to reserve your pet’s staycation.

Available hours for boarding pick up and check-in are Monday-Friday 7am-6:30pm, Saturday 8am-12pm, & Sunday 5pm-6pm.

Your Name *

First

Last

Email *

Pet's Name *

Are you dropping off more than one pet for boarding? *

Yes

No

If the information is exactly the same for all pets, only one form is necessary. Be sure to include all belongings on this form. Otherwise please fill out check-in form for each pet.

My pet will be picked up on: (If there is a change to the date or time of discharge please advise us at boarding@ricevillageanimalhospital.com) *

Date

Time

How can we reach you while your pet is boarding? *

Primary Contact Name *

First

Last

Primary Contact Phone Number *

Alternate Contact Name

First

Last

Alternate Contact Number

Spaw Time!

Bath

Bath and Haircut

Bath and Haircut Instructions

Chow Time! *

Once a day

Twice a day

Free feed

House Special

Own Diet

How many cups per feeding?

Does your pet take medication?

Yes

No

Please list the medications and instructions. *

Medication Schedule

Once daily AM

Once daily PM

Twice daily

Other

Please explain. *

Please list any items that you are leaving with your pet with a brief description. While we do our best to ensure all items are returned in like condition, occasionally items are damaged or misplaced. Please do not bring any irreplaceable or sentimental items with your pet as we cannot accept responsibility for them.
Please list any personal belongings that are left and a brief description of the item.

Leash Description

Collar Description

Carrier Description

Other Items

Does your pet have any pre-existing and/or current medical problems we should be aware of? Please explain.

Is there any other thing that we need to know about your pet that would help us? (Afraid of thunder storms, fractious, separation anxiety, etc.)

Has your pet been ill or showed any signs of illness in the past 2 to 4 weeks? If so, please explain.

Will someone else be picking up your pet?

Yes

No

Who will be picking up your pet?

First

Last

Phone Number

Proof of current vaccinations is required (Rabies, Distemper/Parvo, Leptospirosis, Canine Influenza H3N2/H3N8, Bordetella and negative fecal exam) for all boarders. If vaccinations cannot be confirmed by the time of check-in, we will administer the needed vaccines. An exam fee of $62.50 will be charged along with the costs of any vaccines given. *

I give permission to vaccinate my pet if he/she is overdue for distemper or rabies vaccinations.

If your pet becomes ill during his/her stay with us, a veterinarian will examine your dog or cat. We will make every attempt to contact you at the numbers you provide should your pet become ill while with us. Medical treatment will be provided at the discretion of the veterinarian on duty. All costs associated with any medical care given while boarding will be at the owners’ expense and due upon your pet’s release. *

I have read and understand the authorization for treatment.

In order to maintain a “flea free” environment, your pet will be checked for fleas upon admission. If fleas are present, your pet will be treated with flea medication (at the veterinarian’s discretion) at your expense. *